Active NPI
Daniel Joseph Halsey, MSW LICSW
- Social Worker
- Braham, MN
National Provider Identifier
1174664379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 106
- Practice address
- 521 Broadway Avenue North
Five County Mental Health Center Braham
Braham, MN 55006 - Phone
- (320) 396-3333
- Fax
- (320) 396-3363
- NPI assigned
- Feb 9, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 106 | MN | Primary |
Addresses
Primary practice location
521 Broadway Avenue North
Five County Mental Health Center Braham
Braham, MN 55006
Mailing address
PO Box 287
521 Broadway Avenue North
Braham, MN 55006
Phone (320) 396-3333
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1026275 | Other | PREFERRED ONE | |
| 68737HA | Other | BCBS | |
| HP23938 | Other | HEALTHPARTNERS | |
| P00026860 | Other | RAILROAD MEDICARE | |
| 6220434 | Other | UBH | |
| 16785 | Other | OPTUM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106 | MN | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Five County Mental Health Center | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Braham, MN
- NPI 1801015417
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174664379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 287",
"address_2": "521 BROADWAY AVENUE NORTH",
"city": "BRAHAM",
"state": "MN",
"postal_code": "55006",
"telephone_number": "320-396-3333",
"fax_number": "320-396-3363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 BROADWAY AVENUE NORTH",
"address_2": "FIVE COUNTY MENTAL HEALTH CENTER BRAHAM",
"city": "BRAHAM",
"state": "MN",
"postal_code": "55006",
"telephone_number": "320-396-3333",
"fax_number": "320-396-3363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALSEY",
"first_name": "DANIEL",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "MSW LICSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MN",
"license": "106",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "1026275",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "68737HA",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "HP23938",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00026860",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH",
"identifier": "6220434",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTUM",
"identifier": "16785",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Braham, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.